Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.84 / $1,866.00 / $9,504.00	Facility		$179.84	$1,866.00	$9,504.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.07 / $173.98 / $321.91	Professional		$105.07	$173.98	$321.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $711.00 / $1,640.00 / $3,943.00	Facility		$711.00	$1,640.00	$3,943.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.83 / $137.28 / $245.05	Professional		$89.83	$137.28	$245.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.86 / $121.03 / $149.80	Facility		$100.86	$121.03	$149.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $126.08 / $186.47 / $220.38	Professional		$126.08	$186.47	$220.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.09 / $262.60 / $581.00	Facility		$179.09	$262.60	$581.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.34 / $190.05 / $330.45	Professional		$115.34	$190.05	$330.45
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $179.09 / $366.00 / $581.00	Facility		$179.09	$366.00	$581.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $119.97 / $197.26 / $331.14	Professional		$119.97	$197.26	$331.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.74 / $165.27 / $241.89	Professional		$120.74	$165.27	$241.89
United Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $876.00 / $3,218.00	Facility		$135.00	$876.00	$3,218.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.36 / $199.98 / $345.62	Professional		$144.36	$199.98	$345.62